Individual
BRIAN HEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
(607) 240-4821
Mailing address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
(607) 240-4821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007610-1
NY
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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